COASTAL CARDIOLOGY A MEDICAL CORP
NPI 1619127693
Internal Medicine - Cardiovascular Disease in Arroyo Grande, CA

Active since September 25, 2008
345 S HALCYON RD, ARROYO GRANDE, CA 93420(805) 782-8844 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2025, Nov 25, 2019 (2 updates tracked since 2019).

About Coastal Cardiology A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CARDIOLOGY A MEDICAL CORP (NPI 1619127693), doing business as Coastal Cardiology, is a healthcare organization registered as a cardiovascular disease in Arroyo Grande, California and active in the NPI registry since September 2008. The organization lists Marissa Famularo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1619127693
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL CARDIOLOGY A MEDICAL CORP
Location Address345 S HALCYON RDArroyo Grande, CA 93420
Mailing AddressPo Box 12003San Luis Obispo, CA 93406-2003 · (805) 782-8844 · Fax (805) 540-5881
Organization SubpartNo
Authorized OfficialMarissa FamularoOperations Manager · (805) 782-8844
Enumeration DateSeptember 25, 2008
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1619127693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X
345 S HALCYON RD, Arroyo Grande, CA 93420

Other Names 1

Doing Business AsCoastal Cardiology

Other Identifiers 3

OtherZZZ24859ZCA · Blue Shield
OtherCP1074Rr Medicare
MedicaidGR0068680CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2084691

Coastal Cardiology - Diagnostic Center · San Luis Obispo, CA
Expired · Sep 28, 2026
CLIA Number05D2084691
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorLorianna P. Fletcher, MD
Laboratory Phone(805) 782-8844
Laboratory LocationCoastal Cardiology - Diagnostic Center1941 Johnson Ave Ste 102, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Physical Medicine & Rehabilitation
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Emergency Medicine
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Emergency Medicine
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Physical Medicine & Rehabilitation
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Clinic/Center (Rehabilitation)
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Dietitian, Registered
345 S HALCYON RD
ARROYO GRANDE, CA 93420
Physical Therapist
345 S HALCYON RD
ARROYO GRANDE, CA 93420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Cardiology A Medical Corp's NPI number?

The NPI number for Coastal Cardiology A Medical Corp is 1619127693. It was assigned to this organization in the NPPES registry on September 25, 2008. The provider is doing business as Coastal Cardiology.

Where is Coastal Cardiology A Medical Corp located?

Coastal Cardiology A Medical Corp is located at 345 S Halcyon Rd, Arroyo Grande, CA 93420. The listed phone number is (805) 782-8844.

What is Coastal Cardiology A Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Coastal Cardiology A Medical Corp was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.